Richardson Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14002 Issued in MD

Legal business name

RICHARDSON PEDIATRIC DENTISTRY

Practice address

8001 Hillsborough Rd
Suite L
Ellicott City, MD 21043-6872

Phone

(443) 574-8944

Fax

(443) 574-8947

NPI assigned

Nov 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Deborah Kratzer

Title

Office Manager

Phone

(443) 574-8944

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanta Dianne Richardson, DMD

  • Pediatric Dentistry
  • Ellicott City, MD
  • NPI 1205800729
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1982958161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 HILLSBOROUGH RD",
            "address_2": "SUITE L",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436872",
            "telephone_number": "443-574-8944",
            "fax_number": "443-574-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 HILLSBOROUGH RD",
            "address_2": "SUITE L",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436872",
            "telephone_number": "443-574-8944",
            "fax_number": "443-574-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "KRATZER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "443-574-8944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun Rhee, O.M.D.
• Colin John Rhoades, PH.D., LCPC
• Amy Rice
• Chloe Rice, LCSW-C
• Richard S Cohen DPM PA
• Shanta Dianne Richardson, DMD
• Wendy Ricourt
• Breion Riddick, LMSW
• Brittney Riddick
• Ridge (MD) Leasing Co., LLC

• Pediatric Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.